{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:04:09Z","timestamp":1747184649582,"version":"3.40.5"},"reference-count":58,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Youth ages 12\u201324 account for approximately 20% of overdoses and yet are poorly reached by opioid agonist treatment (OAT), the most widely recommended treatment for opioid use disorder (OUD). This study contributes to understanding this critical gap by describing youths' patterns of OAT engagement at a novel integrated youth\u2010specific OAT program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was carried out on electronic medical records of <jats:italic>n<\/jats:italic>\u2009=\u200923 youth with OUD accessing a community\u2010based integrated youth services (IYS) centre. Data abstraction focused on four domains: sociodemographic, social determinants of health, patterns of OAT engagement, and other services utilized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Youths' mean age was 22.6\u2009years (SD\u2009=\u20092.1), with a mean age of first opioid use of 17.4 (SD\u2009=\u20092.7). Youth reported extensive histories of adverse childhood experiences, concurrent mental and physical health complications, and poly\u2010substance use. All youth were offered OAT and 83% initiated treatment with buprenorphine\/naloxone, methadone, or slow\u2010release oral morphine. Among those initiating OAT, 42.1% were considered stable on OAT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To our knowledge, this is the first empirical study to describe youths' OAT engagement in an integrated youth\u2010specific OAT program. Our findings demonstrated that a high proportion of youth with OUD initiated OAT in this novel program with varying degrees of OAT stability. These findings can be used to inform the development and implementation of youth\u2010specific and integrated OAT. To account for the novelty of this area of study and small sample sizes, future collaborative efforts across IYS initiatives should be considered, including mixed method approaches to understand outcomes and experiences.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13446","type":"journal-article","created":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T06:50:37Z","timestamp":1685602237000},"page":"1028-1037","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Informing youth\u2010centred opioid agonist treatment: Findings from a retrospective chart review of youths' characteristics and patterns of opioid agonist treatment engagement in a novel integrated youth services program"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8886-1926","authenticated-orcid":false,"given":"Kelly","family":"McInerney","sequence":"first","affiliation":[{"name":"Foundry North Shore  North Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"Marchand","sequence":"additional","affiliation":[{"name":"Foundry Central Office  Vancouver British Columbia Canada"},{"name":"Department of Occupational Science and Occupational Therapy, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"},{"name":"Centre for Health Evaluation Outcome Sciences  Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Buckley","sequence":"additional","affiliation":[{"name":"Foundry North Shore  North Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe","family":"Gao","sequence":"additional","affiliation":[{"name":"Foundry Central Office  Vancouver British Columbia Canada"},{"name":"Department of Medicine, Diamond Health Care Centre University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Kestler","sequence":"additional","affiliation":[{"name":"Centre for Health Evaluation Outcome Sciences  Vancouver British Columbia Canada"},{"name":"Department of Emergency Medicine, Faculty of Medicine Diamond Health Care Centre  Vancouver British Columbia Canada"},{"name":"St. Paul's Hospital  Vancouver British Columbia Canada"},{"name":"BC Centre on Substance Use  Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Mathias","sequence":"additional","affiliation":[{"name":"Foundry Central Office  Vancouver British Columbia Canada"},{"name":"Centre for Health Evaluation Outcome Sciences  Vancouver British Columbia Canada"},{"name":"Providence Research  Vancouver British Columbia Canada"},{"name":"Department of Psychiatry The Unviersity of British Columbia  Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aubree","family":"Argyle","sequence":"additional","affiliation":[{"name":"School of Nursing and Human Physiology Gonzaga University  Spokane WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7076-2452","authenticated-orcid":false,"given":"Skye","family":"Barbic","sequence":"additional","affiliation":[{"name":"Foundry Central Office  Vancouver British Columbia Canada"},{"name":"Department of Occupational Science and Occupational Therapy, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"},{"name":"Centre for Health Evaluation Outcome Sciences  Vancouver British Columbia Canada"},{"name":"St. Paul's Hospital  Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,31]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.03.005"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2019.5183"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1893"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropharm.2017.10.016"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-021-00249-3"},{"key":"e_1_2_11_7_1","unstructured":"British Columbia Centre on Substance Use B.C. 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